ANNEX 1A School‐Community Data Template
I. SCHOOL PROFILE/DATA
Instruction: Please input required data/information in unshaded cells. Fill‐in only the grade levels that are applicable to your school. This template
aims to organize existing school and community data from different sources. If you find it useful to lift data from other templates and transfer it here,
you may do so. Otherwise, you can just attach the other data templates to this form.
IDENTIFYING INFORMATION
School ID: ____________________________________
Address: _____________________________________
District: _____________________________________
Division: ____________________________________
Name of School: ______________________________________
Barangay: ___________________________________________
Municipality: ________________________________________
Region: ____________________________________________
A. GEOGRAPHY
A.1 Location of the School. Check the appropriate description.
Along the highway
Near a river or waterway
Near the coastline
By the hillside
On top of a mountain
A.2 Relative Distance of the School
Distance in km
a. From the poblacion
b. From the nearest public elementary school
c. From the nearest private elementary school
d. From the nearest public secondary school
e. From the nearest private secondary school
f. From the District Office
g. From the Division Office
A.3 Incidence of crimes and other human‐induced hazards
A.3.1 Check if there have been incidences of the following in the last 3 years.
Armed conflict as a result of organized crime (terrorism, siege, etc.)
Crime against school head/s (murder/homicide, physical injury, rape, sexual harassment, etc.)
Crime against school property (theft, robbery, arson)
Crime against student/s (murder/homicide, physical injury, rape, sexual harassment, etc.)
Crime against teacher/s (murder/homicide, physical injury, rape, sexual harassment, etc.)
Fire (Electrical wiring failure, etc.)
Health Threat (i.e. Dengue, Malaria, Measles, food poisoning, disease outbreak)
Oil Spill
Security threat as a result of civilian violence (bomb threats, kidnapping threats, hostage taking, shooting, etc.)
Structural collapse (as a result of engineering failures)
Others. Pls. Specify: ______________
A.3.2 What are the 3 most frequent crimes/human‐induced hazards?
1st most frequent: _________________________________
2nd most frequent: _________________________________
3rd most frequent: _________________________________
A.4 Incidence of natural hazards
A.4.1 Check if there have been incidences of the following in the last 3 years.
Drought
Tropical Cyclones (Storm, Typhoon, Tropical Depression, etc.)
Earthquake
Oil Spill
Fire (includes forest fires and fires due to natural disasters)
Tsunami
Flood
Volcanic eruption
Landslide
Others. Pls. specify: ______________
Storm surge
Mode of Transportation
ANNEX 1A School‐Community Data Template
A.4.2 What are the 3 most frequent natural hazards?
1st most frequent: _________________________________
2nd most frequent: _________________________________
3rd most frequent: _________________________________
A.5 Result of disaster incidents
School used as an evacuation center in the last 3 years
B. LEARNING ENVIRONMENT
B.1 Classrooms and seats
B.1.1 Classroom quantity [SRC.15.]
Level
Total Enrollment,
Current SY
In Good Condition
No. of Classrooms
For Repair/
Total
Rehabilitation
Learner:classroom ratio 1
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL
1
Learner:classroom ratio = Total enrollment divided by the total number of classrooms
B.1.2 Classroom seat quantity [SRC.17.] Indicate the total number of seats in all classrooms.
Number
2
Learner:seat ratio
2
Learner:seat ratio = Total enrollment divided by the total number of seats
B.2 Water, Sanitation and Hygiene (WASH) facilities
B.2.1 Water supply/source. Check as appropriate.
Local piped water
Rainwater catchments
Water well/deep well
Natural source
Without available water supply
Is the main source of water functional at present?
YES
NO
Pls. cite reasons why: ______________________________________________
B.2.2 Handwashing. Is there space for handwashing?
If YES:
with soap
without soap
YES
NO
B.2.3 Functional toilets [SRC.16.]
Male
Female
Ratio 3
Ratio 3
Number
Number
3
4
B.2.4 Toilet bowls
Male
Ratio 4
Number
Learner:toilet ratio = Total enrollment divided by number of toilets
Learner:toilet bowl ratio = Total enrollment divided by number of toilet bowls
Female
Ratio 4
Number
ANNEX 1A School‐Community Data Template
B.3 Textbooks. Indicate number of textbooks per grade level and subject [SRC.3.]
Level
Subject: ___________
Number
Ratio
Subject: ___________
Number
Ratio
Subject: ___________
Number
Ratio
Subject: ___________
Number
Subject: ___________
Ratio
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL
B.4 Library:
No. of books: _________
No. of tables: _________
No. of chairs: _________
Give additional information and qualitative descriptions of the library (on the lighting, space, other fixtures present, etc.)
B.5 Other learning facilities/materials (Example: computers, science equipment. Insert new rows if necessary.)
Facility/Material
Number
Qualitative description/condition
B.6 Availability of electrical supply. What is the school's source of electricity?
Grid supply
Off-grid supply
Solar power
Generator
Others. Pls. specify: ___________
No source of electricity
B.7 Internet connectivity
B.7.1 Are there Internet service providers in the area?
YES
NO
If YES, check the appropriate Internet service provider/s servicing the area:
BAYANTEL
GLOBE
SMART
WIT Global (Satellite)
DIGITEL
PLDT
SUN
Others. Pls. specify: _____________
B.7.2 Does the school subscribe to any of the Internet service provider/s listed above?
YES
NO
B.7.3 Are there Internet café/shops/WiFi‐enabled stations in the area?
YES
Pls. specify: __________________________________________
NO
Number
Ratio
ANNEX 1A School‐Community Data Template
C. TEACHERS
C.1 Number of teachers [SRC.14.]
C.1.1 Number of nationally‐funded teachers (current SY)
Male
5
Female
TOTAL
Learner:teacher ratio 5
Learner:teacher ratio = Total enrollment divided by number of nationally‐funded teachers
C.1.2 Number of locally‐funded teachers and subsidized/volunteer teachers (current SY):
No. of Locally‐funded Teachers: _________
No. of Subsidized/ Volunteer Teachers: _________
C.2 Quality of teachers
C.2.1 Number of master teachers
Position
Number
Carries Full‐Time Class
Teaching Load
(YES/NO)
Assigned
Grade
Levels
Assigned Part‐Time to
Class Teaching
(YES/NO)
Assigned Full‐Time to
Ancillary Services
(YES/NO)
Previous SY:
__________
Current SY:
__________
Master Teacher IV
Master Teacher III
Master Teacher II
Master Teacher I
C.2.2 Number of teachers meeting the desired competencies based on NCBTS
SY Before Previous SY:
__________
Total No. of Teachers
No. of Teachers meeting the standards
% meeting the standards
C.2.3
C 2 3 Projects/interventions implemented to improve basic competencies of teachers
YES
NO
a. Does the school have mechanisms for sustained
school‐based training?
If YES, please describe
b. Does the school use the result of the NCBTS‐
Teacher's Strength and Needs Assessment as basis
for planning?
c. Are there other interventions implemented to
improve competencies of teachers?
C.2.4 If the response to C.2.3.b is YES, list down the top 3 training needs mentioned and indicate the number of teachers
trained on these [SRC.4.]
SY Before Previous SY:
Previous SY:
Current SY:
__________
__________
__________
Training Needs
Top 1: _______________________________
Top 2: _______________________________
Top 3: _______________________________
No. of
Teachers
trained
% of
teachers
trained
No. of
Teachers
trained
% of
teachers
trained
No. of
Teachers
trained
% of
teachers
trained
ANNEX 1A School‐Community Data Template
C.2.5 If teachers weren't trained based on identified needs (as seen in C.2.4), cite reasons for the lack of training.
D. CHILDREN HEALTH AND SAFETY
D.1 Nutritional status [SRC.2.]
D.1.1 Number of malnourished children for the current SY
Wasted
Severely Wasted
Level
Total
Male
Female
Total
Male
Female
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Total
Percent of Total
D.1.2 Projects/interventions implemented in the previous SY addressing malnourished children (insert new rows if necessary)
Number of Children Covered
Project/intervention
D.2 Health status [SRC.2.]
D.2.1 Number of children who have other health problems for the current SY. Indicate common ailments and corresponding number
of children per type of ailment based on results of physical and dental examinations. Insert new columns if necessary.
Types of Ailments (Current SY)
Level
Ailment:
Ailment:
Ailment:
Ailment:
Ailment:
Ailment:
Ailment:
Ailment:
Ailment:
________
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL
________
________
________
________
________
________
________
________
ANNEX 1A School‐Community Data Template
D.2.2 Projects/interventions implemented in the previous SY addressing needs of children with other health problems (insert new
rows if necessary)
Number of Children Covered
Project/intervention
D.3 Children reported as victims of abuse and violence
D.3.1 Number of children who were recorded victims of abuse and violence (physical, verbal, and sexual). Should be supported by
data from the Guidance Office/teachers.
Previous SY ___
Current SY ___
Level
Total
Male
Female
Total
Male
Female
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL
Percent of Total
D.3.2 Projects/interventions implemented for children that were victims or suspected victims of abuse
YES
NO
If YES, please describe the mechanisms
Number of Children
Covered
a. Does the school have
mechanisms to promote
safe and protective
practices based on DepED's
Policy on Child Protection
in School?
b. Other interventions
implemented for children
that were victims or
suspected victims of abuse
(insert new rows if
necessary)
E. STATUS OF PRIORITY IMPROVEMENT PROJECTS OR CI PROJECTS [SRC.18. & SRC.19.]
These projects include those implemented by the school and other stakeholders. Insert new rows if necessary.
Duration
Implementer
Program/Project Title
Start
End
Target
Status/Accomplishments
Indicate progress of the program/ project, and its
effect/impact on children's access to quality education.
ANNEX 1A School‐Community Data Template
F. STAKEHOLDER SUPPORT TO EDUCATION [SRC.13.]
Indicate the amount of contributions made by parents/guardians and other stakeholders for co‐curricular activities, extra‐curricular
activities, and other major activities (such as meetings and assemblies), as well as stakeholder attendance during these activities.
Attendance
Contributions
Activity
Attendance
No. of
Volunteer
No. invited
Cash
In Kind
rate
attendees
hours
Co‐Curricular Activities
Extra‐curricular Activities
Other Major Activities
G. FUND SOURCES [SRC.5.]
Fund Source
General Appropriations Act (School MOOE)
General
Appropriations
Act
(Subsidy
G
lA
i ti
A t (S
b id ffor SSpecial
i l Programs)
P
)
Local Government Unit funds
Canteen funds
Donations
Amount